Blended Family Services

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BLENDED FAMILY SERVICES

Practice address

11511 Ragusa Dr
Rancho Cucamonga, CA 91701-8573

Phone

(217) 816-5410

NPI assigned

Oct 23, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Charnea Myasha Crump, BCBA

Title

Owner

Phone

(217) 816-5419

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charnea Campbell

  • Behavior Technician
  • Ontario, CA
  • NPI 1922506930
  NPD
• Lisa L Roberts

  • Behavior Technician
  • Rancho Cucamonga, CA
  • NPI 1093564627
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1558133702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 RAGUSA DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917018573",
            "telephone_number": "217-816-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11511 RAGUSA DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917018573",
            "telephone_number": "217-816-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLENDED FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-22",
        "status": "A",
        "authorized_official_last_name": "CRUMP",
        "authorized_official_first_name": "CHARNEA",
        "authorized_official_middle_name": "MYASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-816-5419",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.